TYLER JAMES RUSHFORTH
NPI 1114436219
Family Medicine in Cullman, AL

Q: What is Tyler Rushforth's NPI number?

The NPI number for Tyler Rushforth is 1114436219. It was assigned to this individual provider in the NPPES registry on September 21, 2017.

Q: What is Tyler Rushforth's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Rushforth was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 21, 2017PECOS EnrolledAccepts Medicare Assignment

1935 ALABAMA HIGHWAY 157, SUITE C, CULLMAN, AL 35058(256) 297-3030(256) 297-3301 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 1, 2023, Oct 25, 2023, Sep 23, 2022 and 4 more (7 updates tracked since 2017).

On this page

About Tyler James Rushforth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER JAMES RUSHFORTH (NPI 1114436219) is an individual family medicine provider in Cullman, Alabama, licensed in Alabama (DO.2598) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Alabama College Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1114436219

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTYLER JAMES RUSHFORTH

Location Address1935 ALABAMA HIGHWAY 157, SUITE CCullman, AL 35058-1862

Mailing Address2019 Austin Dr NeCullman, AL 35058-2055 · (801) 660-9367

Phone(256) 297-3030

Fax(256) 297-3301

Sole ProprietorNo

Medical School CMSAlabama College Of Osteopathic MedicineGraduated 2019

Enumeration DateSeptember 21, 2017

Last NPPES UpdateNovember 1, 20237 updates tracked since enumeration

NPPES CertifiedOctober 31, 2023

✔ NPI 1114436219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AL · DO.2598

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1935 ALABAMA HIGHWAY 157, Cullman, AL 35058

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Secondary Practice Locations 6

Location 11912 Al Highway 157Cullman, AL 35058-0609 · Phone (256) 737-2000 · Fax (256) 737-2152

Location 21958 Al Highway 157Cullman, AL 35058-0609 · Phone (256) 737-2090 · Fax (256) 737-2091

Location 31549 Highway 31 NWHartselle, AL 35640-4431 · Phone (256) 735-5920 · Fax (256) 678-7710

Location 4405 Belcher StCentreville, AL 35042 · Phone (205) 926-2992

Location 51613 N McKenzie StFoley, AL 36535-2247 · Phone (801) 660-9367

Location 66061 Colonial Pkwy Unit 4302Gulf Shores, AL 36542-2594 · Phone (801) 660-9367

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tyler James Rushforth is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244668176

PECOS Enrollment IDI20220721002263

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Tyler Rushforth reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cullman Regional Medical Group Hospitalists LLC

Same address

Hospitalist

1912 AL HIGHWAY 157
Cullman, AL 35058

Reassigned Medicare billing, Alabama enrollment
45 clinicians in this Medicare group

NPI 1023642568 (256) 735-5071

Rushforth Family Care LLC

Same address

Family Medicine

1935 AL HIGHWAY 157, SUITE C
Cullman, AL 35058

Reassigned Medicare billing, Alabama enrollment
4 clinicians in this Medicare group

NPI 1730966854 (256) 297-3030

Crmc Medical Group LLC

0.2 mi

Multi-Specialty

1948 AL HIGHWAY 157 STE 450
Cullman, AL 35058

Reassigned Medicare billing, Alabama enrollment
87 clinicians in this Medicare group

NPI 1467083675 (256) 735-5075

Fairview Family Clinic LLC

7.6 mi

Family Medicine

7 BUTLER ST
Cullman, AL 35058

Reassigned Medicare billing, Alabama enrollment
2 clinicians in this Medicare group

NPI 1326873514 (256) 500-4511

Cedar Street Medical Associates

19 mi

Family Medicine

220 CEDAR ST NW
Hartselle, AL 35640

Reassigned Medicare billing, Alabama enrollment
8 clinicians in this Medicare group

NPI 1780376970 (256) 773-2260

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 23

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

291 services104 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

110 services64 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

69 services22 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

67 services20 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

61 services34 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

57 services30 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

52 services52 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

48 services48 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

48 services48 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

37 services26 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

33 services31 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

32 services32 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

30 services30 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

27 services27 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

23 services23 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

19 services14 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

16 services16 patients

Ultrasound of aorta, vena cava, groin vessels or bypass grafts 93979

This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps doctors check for issues like blockages or enlargements. It's non-invasive and painless.

14 services14 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

13 services13 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

13 services13 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

12 services12 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

12 services11 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35058 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Rushforth's NPI number?

The NPI number for Tyler Rushforth is 1114436219. It was assigned to this individual provider in the NPPES registry on September 21, 2017.

Where is Tyler Rushforth located?

Tyler Rushforth practices at 1935 Alabama Highway 157 Suite C, Cullman, AL 35058. The listed phone number is (256) 297-3030.

What is Tyler Rushforth's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tyler Rushforth enrolled in Medicare?

Yes. Tyler Rushforth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tyler Rushforth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Rushforth reassigns Medicare benefits to 5 organizations: Cullman Regional Medical Group Hospitalists LLC (Cullman, AL), Rushforth Family Care LLC (Cullman, AL), Crmc Medical Group LLC (Cullman, AL), Fairview Family Clinic LLC (Cullman, AL) and Cedar Street Medical Associates (Hartselle, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyler Rushforth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Rushforth accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Tyler Rushforth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyler Rushforth was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.